Organization
FIRST CHOICE FAMILY DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE D JACOBS DDS (DENTIST)
(718) 366-0662
Entity
Organization
Contact information
Practice address
339 WYCKOFF AVE, RIDGEWOOD, NY 11385-2726
(718) 366-0662
Mailing address
339 WYCKOFF AVE, RIDGEWOOD, NY 11385-2726
(718) 366-0662
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
039714
NY
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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